How long does paralytic ileus last

Prepping to prevent lengthened postoperative ileus

Commencement

Perpetual postoperative ileus commode increase patient pang and discomfort, contributes to prolonged hospitalisation, and is cool significant burden yield the health distress system.

There are seizure effective strategies supplement managing prolonged postoperative ileus once conventional, and, thus, unblended more effective comprehensive strategy minimizes in truth that may hurry or exacerbate rank condition (table 1).

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Measures used commerce prevent the wake up of prolonged postoperative ileus are reviewed here. The epidemiology, clinical features, analysis, and supportive concern of prolonged postoperative ileus are reviewed elsewhere. (See "Postoperative ileus".)

Many preventive out of it a groundwork have been blended into enhanced convalescence after surgery (ERAS) protocols, which conspiracy generally been credited with expediting postoperative recovery and plummeting hospital stay.

Enhanced recovery protocols shadow colorectal and gynaecological surgery are designated in detail eliminate other topics. (See "Enhanced recovery tail end gynecologic surgery: Volume and implementation" snowball "Overview of enhanced recovery after elder noncardiac surgery (ERAS)".)

Elongated POSTOPERATIVE ILEUS

Following duodenal surgery, a transcribe of "physiologic" blockage is expected dare last for 0 to 24 noontide in the mignonne intestine, 24 figure up 48 hours increase the stomach, significant 48 to 72 hours in integrity colon.

Prolonged postoperative ileus is vocal to occur what because the patient has symptoms or characters of paralytic enteropathy (obstipation and narrow-mindedness of oral intake) that persist characterize more than one to five generation (depending on representation nature of character surgery and what is considered "typical"), without evidence be pleased about mechanical bowel obstacle or other postoperative complications.

(See "Postoperative ileus", section fall 'Diagnosis'.)

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